![]() Peak CK concentration increased substantially with amputation ( p = 0.002), lower limb injury ( p < 0.001), abdominal trauma ( p = 0.011), and thoracic trauma ( p = 0.048). Mortality was significantly increased in patients with thigh injuries ( p = 0.028). Lower extremity injury, abdominal trauma, and thoracic trauma were associated with mortality. One hundred and two patients (56.7%) underwent hemodialysis. Fasciotomy and amputation were performed in 41 (17.6%) and 72 (30.9%) patients. The mean time under the rubble was 41.89 ± 29.75 h. Demographic data, physical and laboratory findings, surgical treatments, and outcomes were recorded. Totally, 233 crush syndrome patients were included. The clinical data of patients during their first week of hospitalization were analyzed retrospectively. ![]() We aimed to share our experiences after the Kahramanmaraş earthquake, to predict the severity of crush syndrome and mortality, and to guide the surgical decision. 2015 36:410–5.The decision of fasciotomy or amputation in crush syndrome is controversial and challenging for surgeons. Compartment pressures in children with normal and fractured forearms: a preliminary report. Tharakan SJ, Subotic U, Kalisch M, Staubli G, Weber DM. Acute traumatic compartment syndrome of the leg in children: diagnosis and outcome. 2008 90:215–9.įlynn JM, Bashyal RK, Yeger-McKeever M, Garner M, Launay F, Sponseller P. Normal compartment pressures of the lower leg in children. Staudt JM, Smeulders MJ, van der Horst CM. Acute compartment syndrome in children: contemporary diagnosis, treatment, and outcome. Vacuum-assisted complex wound closure with elastic vessel loop augmentation: a novel technique. Moran SG, Windham ST, Cross JM, Melton SM, Rue LW III. Shoelace technique plus vacuum-assisted closure in leg fasciotomy. Murakami M, Morikage N, Samura M, Yamashita O, Suehiro K, Hamano K. Wound closure of leg fasciotomy: comparison of vacuum-assisted closure versus shoelace technique. Kakagia D, Karadimas EJ, Drosos G, Ververidis A, Trypsiannis G, Verettas D. Negative pressure wound therapy after severe open fractures: a prospective randomized study. Stannard JP, Volgas DA, Stewart R, McGwin G Jr, Alonso JE. Vacuum assisted wound closure after dermatofasciotomy of the lower extremity. Synthetic skin replacement for temporary wound closure. The acute compartment syndrome following fractures of the lower leg in children. Acute compartment syndrome in children: a case series in 24 patients and review of the literature. 2012 20:312–5.Įrdös J, Dlaska C, Szatmary P, Humenberger M, Vécsei V, Hajdu S. Factors associated with persistent sequelae after fasciotomy for acute compartment syndrome. 1943 6:81.ĭover M, Memon AR, Marafi H, Kelly G, Quinlan JF. Aids to the investigation of peripheral nerve injuries. Medical Research Council (Great Britain). Clinical practice guidelines for the management of acute limb compartment syndrome following trauma. Wall CJ, Lynch J, Harris IA, Richardson M, Brand C, Lowe A, et al. Acute compartment syndrome in children and teenagers with tibial shaft fractures: incidence and multivariable risk factors. Shore BJ, Glotzbecker MP, Zurakowski D, Gelbard E, Hedequist D, Matheney T. Ischaemic muscle paralyses and contractures. device are safe and reliable for closure of fasciotomy wounds in children, whereas SSR seems to lead to shorter time until definitive wound closure. There was a statistically significant smaller number of procedures ( p value 0.018), fewer days to definitive wound closure ( p value 0.002) and fewer hospitalization days ( p value 0.005) in the SSR group. In the SSR group (9 patients), the mean number of procedures was 1.8, mean days until definitive wound closure was 4.9 and mean days of hospitalization was 9.9. One patient suffered from a wound infection and one patient required a full thickness skin graft. device group (18 patients) the mean number of procedures until definitive wound closure was 3.1, mean days until wound closure was 9.4 and mean days of hospitalization was 16.2. We recorded the number of procedures to definitive wound closure, days to wound closure, hospitalization days and sequelae rate. The fasciotomy wound was either treated with SSR or V.A.C. We studied the cases of 27 patients who were treated at our institution for acute compartment syndrome of the lower leg with a fasciotomy over a 10-year period. ![]() We therefore compared two commonly used methods to close fasciotomy wounds, Epigard, a temporary synthetic skin replacement (SSR) and the vacuum-assisted closure (V.A.C.) device, in respect of treatment duration and complication rates. No clear consensus on the optimal treatment of fasciotomy wounds due to acute compartment syndrome of the lower leg in children exists. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |